Individual
MR. JOHN WALLACE HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
500 FOOTHILL BLVD, SALT LAKE CITY, UT 84148-0001
(801) 582-1565
Mailing address
30 FRANKLIN CIR, BOUNTIFUL, UT 84010-7656
(801) 296-2705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8887
NE
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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